Alan Kling M.D. - Dermatologist Dr. Alan Kling is a nationally renowned, board-certified dermatologist who practices both general and cosmetic dermatology. Dr. Kling is a recognized expert in the field of HPV (human papillomavirus) infections and is active in teaching, research, and the evaluation and treatment of patients with this condition.
1000 Park Avenue New York, NY 10028
NEW YORK, 1000 Park Avenue New York 10028 New York
Alan Kling M.D. - Dermatologist
Dr. Alan Kling is a nationally renowned, board-certified dermatologist who practices both general and cosmetic dermatology. Dr. Kling is a recognized expert in the field of HPV (human papillomavirus) infections and is active in teaching, research, and the evaluation and treatment of patients with this condition. Dr. Kling is an excellent doctor. He always takes the time to answer questions and cares about his patients, which is very unusual these days. His staff are very nice and waiting time is minimal. I've been to Dr. Kling 3-4 times now. Each time, I was seen promptly and Dr. Kling was thorough in his analysis and objective in treatment. Prognosis and treatments were explained in plain, easy-to-understand English. Office is very clean. Recommended. Dr. Kling is great. I have been seeing him for over a year and every visit has been helpful and a pleasent experience. I will continue to see Dr Kling going forward. Dr. Kling was mean at first but i continue to see him. In retropect, he wasnt being mean, he was being a doctor. In todays society we are quick to judge without thought. Thats why we usually feel regret. This doctor put me in my place and he needed too. I usually ignore followups but one thing Dr. Kling does is shows he cares. This man is very busy but very kind and commpassionate as he never makes you feel your alone. Gives you personal stories too relate and in 6 months ive kept all my appointments. Although i dont want to be in this position, Dr. Kling makes the process fun. Thank You. Dr. Kling is a terrific doctor. He treated my condition with expertise and accuracy, and my skin problem was resolved within a few days. I was really nervous when I first came to see him, but he quickly allayed my concerns and put me at ease by explaining the reasons for my rash and how he was going to treat it. He was kind, compassionate and I felt he fully understood why I was so scared. Dr. Kling's staff was very friendly and reminded me of my appointment day and time two days in advance. The office was elogant yet welcoming. I would highly recommend Dr. Kling to my family and friends. Excellent dr explained everything in detail. Highly recommend. The Dr. Arten was very helpful he took care of my situation. I would reommend this place for any one that has a skin problem. His staff was great as well nice and kind people. They took care of me very quick. Dr. Kling is an excellent physician whom I recommend for treating any dermatological ailment. He was very diligent in helping me obtain relief in a moment in which my disease was severely affecting my health and well being. His staff was also superb, very polite and like the Dr. Kling showed a high level of professional when interacting with me and assisting in the medical procedures that I required. They are the best!! Doctor Kling is wonderful. I am extremely happy with my results and would definitely recomend him to family and friends. I have been a patient for over 20 years. The best doctor Excellent physician! I love how my skin looks! Efficient and takes time to explain process amd symptoms. Very thorough and clear. Good experience. Dr. Kling is very knowledgeable and understands my needs. He explains what is doing and why, and a brief history of my condition. I would recommend him highly. Dr Kling is an excellent doctor, very professional and kind. His stuff is great, friendly and efficient. Dr.Kling is the is the best dermatologist i have been to the pimples on my face was aweful.Now i am happy with the result. i would recomemd him to anyone who has a problem with there skin. thank you Dr. Kling to let me feel good about myself again. I have been a patient of Dr. Kling for over two years and can give an unqualified recommendation of his care and services. He is a very focused and professional physician. His office staff is also highly competent and easy to work with. Additionally, I have found dr. Kling's availability to be very good. Dr. Alan Kling is an outstanding Dermatologist. I have been seeing him over 10 years. His office staff is excellent. He is available at all times if you have any emergency call. He is one of the top physician in his area of expertise. I am happy to share my good experience in this rating/review. Dr. Alan kling is one of the finest physicians in manhattan. Courteous, professional and caring. Michael hirsch Dr Kling has been my attending physician for many years now. His professionalism and "bedside manner" has helped me through many challenges. I highly recommend Dr Kling and his wonderful friendly, efficient staff to anyone who may need the services he provides. Dr Kling has been my attending physician for many years now. His professionalism and "bedside manner" has helped me through many challenges. I highly recommend Dr Kling and his wonderful friendly, efficient staff to anyone who may need the services he provides. Dr. Kling is an exceptiionally skilled and knows his field. His stlye is comforting and reassuring. All of this is reflected in his staff which is personable and professional. I will recommend him without hesitation. Dr. kling is very thorough and knowledgeable. I trust him and have high respect for his services. Dr. Kling is the best dermathologist I ever have. I have being his patient for over 15 years and I am always very satisfied for the service I receive from him. I highly recommend Dr. Kling to all my friends. Dr. Kling has been my doctor for a long time. He is very helpful . I am satisfied with his services. Dr. cling was very accomadating and made a uncomfortable visit to the office very relaxed. I felt very welcomed and it was a not nearly as bad as i originally anticpated. I d strongly recomend Dr Cling to anyone with any dermatogogy concerns or issues. Dr. Kling is phenomenal! He is extremely knowledgable and effective. I recommend him to all of my friends & family. Over the last year my skin has made a great improvement and it is all thanks to Dr. Kling.
Rating: 4 / 5 stars

Comprehensive Programs For HPV-Related Cancer Prevention

Can new infections become malignant and evolve into cervical cancer?

New infections are benign unless they persist.

How common are anal HPV infections in women and in men who have sex with men (MSM)?

The cumulative rate of anal HPV infection in women (WSW) is 70%-90%.

How common is cervix to anus and anus to cervix with inoculation in the same women?

Both cervix to anus and anus to cervix with inoculation in the same women is common.

How frequent is cervical cancer in women who are over 30?

There is a very low risk of cervical cancer or cancer precursor lesions in women who are younger than 30 who are HPV-negative or clear of HPV.

How often does clearance of anal HPV infection occur?

Clearance of anal HPV is common. Few individuals show persistence of anal HPV infection unless they are HIV-infected.

How strong is the influence of HIV on the development of anal intraepithelial neoplasia (AIN)?

HIV strongly influences the developmental of anal intraepithelial neoplasia (AIN). AIN is very much more frequent in an HIV positive individual.

How will HPV-related cancers be prevented in men?

HPV screening for anal-rectal cancers as well as oropharyngeal cancers amongst high-risk groups of both men and women need to be developed.

How would public health officials determine which group is targeted to get HPV vaccination?

The lifetime probability of getting an HPV infection can is over 80% in certain populations, and one is not able to predict who will become a carrier or will be able to be clear of the
infection. Routine immunization programs for the entire population is the only way to effectively control the infection so that future generations will be free of HPV. Improved programs in order to increase the availability and to make the cost more manageable across populations in both developed and developing countries would be necessary to achieve this goal.

Is the cervix or the anus to cervix a long-term reservoir for HPV infection?

It is unknown for how long either site serves as a source of infection.

What are the prevalence rates of men across all ages?

The prevalence rates for men are steady across all ages, would suggest that men do not develop protection against the infection. The prevalence rates for women decreases as they get older.

What factors influence the rate of transmission between heterosexual couples?

Factors that affect the rates of infection between heterosexual couples including intervals between testing points, the rates of concordance or discordance at baseline (the rate at which each partner does or does not have an HPV infection) and difficulty in establishing sexual infection versus contamination.

What groups of women will get cervical cancer in the decades to come after widespread immunization has been achieved?

Most cervical cancers in the coming years will arise in non-vaccinated women or women who already carry other vaccine at the time that they had vaccination and for whom the vaccine was not as effective.

What happens to a PIN lesion if it is left alone?

The natural history of PIN is not known. Men in whom PIN is diagnosed are usually treated.

What HPV strain is usually found in PIN?

The high risk of HPV 16 and 18 strains are the strains most frequently found in PIN. Natural History of HPV in Anal Genital Cancers

What is high-grade AIN?

High-grade AIN is a precursor to invasive anal cancer.

What is penile intraepithelial neoplasia (PIN)?

Penile intraepithelial neoplasia (PIN) is regarded as a precancerous condition.

What is the difference between PIN and cancer of the penis?

PIN is a condition where the delve in the top layer of the skin and penis look to be aggressive but in most cases when this is followed over time the lesion does not progress into an evasive cancer of the penis.

What is the most effective way to vaccinate young adolescents?

School-based programs have been demonstrated to be the most feasible way to reach adolescents in many countries. In addition, national immunization days and campaign style programs can be considered. The possibility of incorporating the HPV vaccine into childhood or Expanded Program on Immunization (EPI) programs may also be considered. The most effective way of reaching children below two years of age is by early immunization and this would guarantee a high rate of coverage.

What is the necessary event in the development of cervical cancer?

Cervical HPV persistence is the known necessary event in the development of cervical cancer.

What is the prevalence of HPV in PIN?

The prevalence of HPV in PIN ranges from 60%-100%.

What is the prevalence of PIN compared to an invasive cancer of the penis?

The prevalence of PIN is far greater and much more common than invasive cancer of the penis.

What is the price of the vaccine in the United States?

The cost that Merck sells the vaccine to private practitioners in 2013 is $135.00/dose (check this number). This indicates the cost of the vaccine is over $400.00 before considering the cost of administering the vaccine. Developing countries have recently negotiated with GAVI in persuading the HPV vaccine companies to lower their cost in developing countries. The HPV vaccine companies have negotiated with developing countries and GAVI to introduce special programs to lower the cost of vaccines in their country.
1. Natural History of Penile and External Genital HPV
2. Penile Intraepithelial Neoplasia (PIN)

What is the rate of anal cancer in women who have other HPV-associated growths, including cancer precursors of the cervix, the vulva and vagina?

Women with precursors to cancer of the cervix, vulva and vagina have significantly higher rates of anal cancer.

Which healthcare providers will be most active in these efforts?

Pediatricians, general practitioners, public health workers, and school officials will all play important roles in developing a comprehensive program for HPV-related cancer prevention.

Who would be the key players in making sure that there is widespread vaccination?

Organized public health programs would be needed to reach the pre-adolescent, adolescent populations with the vaccine, to ensure long term follow-up to make sure that the program is effective and that the vaccine is safe.

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